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Published on: April 22, 2019
Aurora kinase A inhibition and paclitaxel as targeted combination therapy for head and neck squamous cell carcinoma
Abhijit Mazumdar1, Ying C Henderson, Adel K El-Naggar
1Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Background:
Aurora kinase A (AURKA) is amplified with varying incidence in multiple human cancers including head and neck squamous cell carcinoma (HNSCC). We investigated whether AURKA is a potential therapeutic target in HNSCC.
Methods:
We conducted an immunohistochemical analysis of AURKA expression in paired normal and tumor samples (n = 63). HNSCC cells treated with siRNA specific for AURKA were assessed for AURKA mRNA and protein expression levels by reverse transcriptase-polymerase chain reaction and Western blot analysis. Tumor cells treated with siRNA and paclitaxel were assessed for cell proliferation by MTT assay and for cell cycle distribution by flow cytometry.
Results:
AURKA expression was higher in tumor than in adjacent normal in most (85%) of the samples analyzed. HNSCC cells and primary tumors revealed high expression levels of AURKA. Most primary tumors also showed high kinase activity of the enzyme. Targeted AURKA inhibition increased the sub-G1 cell fraction, with a concomitant reduction in the G1 cell population, indicating induction of apoptosis and thus markedly suppressed proliferation of HNSCC cells. Combining siRNA-induced AURKA inhibition with 5 to 10 nM paclitaxel synergistically enhanced apoptosis induction.
Conclusion:
AURKA is a potential therapeutic target for HNSCC. Further investigation of small-molecule AURKA inhibitors as therapeutic agents is warranted.
Insights
Aurora kinase A (AURKA) is overexpressed in head and neck squamous cell carcinoma (HNSCC). Inhibiting AURKA induces apoptosis and suppresses HNSCC cell proliferation, suggesting AURKA as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Aurora kinase A (AURKA) is frequently amplified in various human cancers.
- Head and neck squamous cell carcinoma (HNSCC) incidence of AURKA amplification varies.
- Investigating AURKA as a potential therapeutic target in HNSCC.
Purpose of the Study:
- To determine the role of AURKA in HNSCC.
- To evaluate AURKA as a therapeutic target for HNSCC.
Main Methods:
- Immunohistochemical analysis of AURKA expression in 63 paired normal and tumor HNSCC samples.
- AURKA inhibition using siRNA in HNSCC cells, assessed by RT-PCR and Western blot.
- Cell proliferation (MTT assay) and cell cycle distribution (flow cytometry) analysis of siRNA-treated HNSCC cells, with and without paclitaxel.
Main Results:
- AURKA expression was elevated in 85% of HNSCC tumors compared to adjacent normal tissues.
- High AURKA expression and kinase activity were observed in HNSCC cells and primary tumors.
- AURKA inhibition induced apoptosis and suppressed HNSCC cell proliferation.
- Combination of AURKA inhibition and paclitaxel synergistically enhanced apoptosis.
Conclusions:
- AURKA represents a promising therapeutic target for HNSCC.
- Further research into small-molecule AURKA inhibitors for HNSCC treatment is recommended.
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